Provider Demographics
NPI:1366735425
Name:PAVRI, SABRINA NICOLE (MD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:NICOLE
Last Name:PAVRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 YATES ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5717
Mailing Address - Country:US
Mailing Address - Phone:410-218-3115
Mailing Address - Fax:407-821-3556
Practice Address - Street 1:265 E ROLLINS ST STE 5300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5519
Practice Address - Country:US
Practice Address - Phone:407-821-3555
Practice Address - Fax:407-821-3556
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME1359692086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program